Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Paris during CMS and state inspections, most recent first.
Call Bells Left Out of Reach for Two Residents: Two residents with cognitive impairment and significant assistance needs were found with their call bells out of reach. One resident with dementia and a history of falls had his call light hung past the foot of the bed, while another resident with paraplegia had his push-pad hanging from the siderail and still out of reach on follow-up observation. Staff acknowledged the call bells should have been within reach, and one resident stated he could not obtain assistance without his call light.
MDS assessments failed to accurately capture a resident’s physical behaviors toward others. Although the resident had CHF, stroke, schizoaffective disorder, dementia with agitation, and repeated care plans for abusive, disruptive, and medication-refusing behaviors, the quarterly and discharge MDSs showed no behavioral symptoms or rejection of care. Progress notes and staff interviews described punching, clawing, swatting, and other combative actions toward staff, while the MDS Coordinator said she believed already care-planned behaviors did not need to be coded.
A resident with a foley catheter did not receive appropriate care, as the facility failed to empty the catheter bag as ordered by the physician. This oversight led to the resident experiencing abdominal pain and a potential risk for further urinary tract infections. Observations showed the catheter bag contained over 2000 cc of urine, and staff interviews confirmed the deficiency in care.
A facility failed to attempt a gradual dose reduction (GDR) for a resident prescribed Risperdal, despite recommendations from the consultant pharmacist. The resident, with severe cognitive impairment and schizoaffective disorder, was on a consistent antipsychotic regimen without documented contraindications for GDR. The DON acknowledged the lack of GDR documentation and the importance of conducting GDRs to prevent adverse effects.
A resident with severe cognitive impairment and Hepatitis C did not receive the full eight-week course of Mavyret due to a transcription error and lack of medication continuation during hospitalization. The resident only received four weeks of treatment, leading to ineffective management of Hepatitis C and the need for an additional 12-week course.
Call Bells Left Out of Reach for Two Residents
Penalty
Summary
The facility failed to ensure that two residents had their call bells within reach. Resident #1 had diagnoses including dementia, restlessness and agitation, unspecified lack of coordination, weakness, and a history of traumatic brain injury. His care plan identified a history of falling and included an intervention to keep the call light in reach at all times. His MDS reflected severe cognitive impairment, and he required partial/moderate assistance with mobility and at least substantial assistance with self-care activities. Resident #20 was readmitted with diagnoses including pneumonitis, weakness, and paraplegia. His care plan also identified a history of falling and included an intervention to keep the call light in reach at all times. His MDS reflected moderate cognitive impairment, and he was dependent on assistance with mobility and required at least partial/moderate assistance with self-care activities. During observation, Resident #20 was in bed with his call bell cord wrapped around the siderail and the push-pad hanging down approximately 2 feet out of reach. On follow-up observation the next day, the call bell remained in the same out-of-reach location. Resident #1 was observed lying sideways in bed with his call bell curled up and hung on the wall past the foot of the bed and out of reach. He stated his brief was wet and he needed assistance. Staff were notified and CNA A came promptly to assist him. During interview, CNA A stated he had seen Resident #1's call bell hanging on the wall earlier that morning and believed someone may have hung it up during bed changes and forgotten to return it. CNA A and CNA B both stated Resident #20's call bell was not within reach when they were in the room, and Resident #20 stated he wanted more water, could not reach his call bell, and could not walk or otherwise obtain assistance without it.
MDS assessments did not reflect resident’s aggressive behaviors
Penalty
Summary
The facility failed to ensure an accurate assessment for a discharged resident by not coding his most recent quarterly and discharge MDS assessments to reflect his physical behaviors directed at others. The resident had diagnoses including CHF, stroke, schizoaffective disorder, depression, dementia with agitation, and adjustment disorder with anxiety and depression. His quarterly MDS and one discharge MDS documented no physical, verbal, or other behavioral symptoms and no rejection of care during the look-back period, while also showing substantial/maximal assistance for most ADLs. The record contained multiple care plans and progress notes showing ongoing behavioral issues. Care plans addressed delusions/hallucinations, memory problems, physically and verbally abusive behavior, socially inappropriate and disruptive behavior, and refusal of medications and labs. Progress notes documented attempts to punch staff, clawing a nurse’s arm, striking staff during pericare, attempting to hit an EKG technician, swatting staff during shower care, raising a fisted arm toward a nurse, and continued combative behavior with care and medication refusals. The resident was also transferred to an acute care hospital after continued combative behavior. Staff interviews confirmed the resident’s behaviors were known and observed. The ADON, multiple nurses, and CNAs described him as frequently aggressive, combative, and capable of hitting, kicking, or swatting staff with little warning. The MDS Coordinator stated she did not document the behaviors in the MDS because she believed the RAI manual said behaviors already care planned should not be recorded, and she believed that applied to both rejection of care and behaviors affecting the resident or others. The Regional MDS Coordinator later stated that behaviors affecting the resident or others should be coded if observed during the look-back period, regardless of whether they were already care planned, and that only rejection of care already addressed in care planning did not have to be coded.
Failure to Provide Adequate Catheter Care
Penalty
Summary
The facility failed to provide appropriate catheter care for a resident, leading to a deficiency in preventing urinary tract infections. The resident, a male with a history of obstructive uropathy, traumatic brain injury, and paraplegia, was admitted with an indwelling foley catheter. Despite physician orders to empty the catheter twice daily, the facility did not adhere to this directive. On one occasion, the resident's catheter bag contained over 2000 cc of urine, which was not emptied as required, potentially contributing to a urinary tract infection. Observations and interviews revealed that the resident experienced abdominal pain and reported that nurses often forgot to empty his catheter bag. A Licensed Vocational Nurse (LVN) confirmed that the catheter bag was excessively full, which could lead to stagnant urine and further infections. The Director of Nursing (DON) acknowledged that catheter care should be performed twice daily and suggested that the resident might require more frequent emptying. The facility's policy emphasized monitoring for complications related to catheter use, but the failure to follow physician orders and the facility's own guidelines resulted in a deficiency.
Failure to Implement Gradual Dose Reduction for Psychotropic Medication
Penalty
Summary
The facility failed to ensure a gradual dose reduction (GDR) was attempted for a resident reviewed for unnecessary medications. The resident, a male with schizoaffective disorder, seizure disorder, and cerebral infarction, was prescribed Risperdal 2mg orally twice daily and Risperdal Consta suspension extended release 25mg/ml intramuscularly every 14 days. Despite the resident's severe cognitive impairment and consistent use of antipsychotic medication, the facility did not attempt a GDR or document any contraindications for the GDR. The consultant pharmacist recommended a decrease in the resident's Risperdal dosage, but the facility did not implement these recommendations. The Director of Nursing (DON) acknowledged the absence of GDR documentation for the resident's medications and recognized the importance of conducting GDRs to prevent adverse effects from psychotropic medications. The facility's policy required evaluations for GDR unless clinically contraindicated, but this was not adhered to in the resident's case.
Significant Medication Error: Incomplete Mavyret Treatment for Hepatitis C
Penalty
Summary
The facility failed to ensure that a resident received the full prescribed course of Mavyret, an antiviral medication for Hepatitis C, resulting in a significant medication error. The resident, who had severe cognitive impairment and required moderate assistance for most activities of daily living, was supposed to receive an eight-week course of Mavyret starting on November 15, 2023. However, due to a transcription error, the medication was only ordered for 28 days, and the resident received only four weeks of treatment. The error was compounded by the resident's hospitalization from November 19 to November 27, 2023, during which the medication was not continued as planned. Despite communication between the facility and the hospital, the resident did not receive the medication during the hospital stay, and it was not restarted upon return to the facility. The facility's staff, including the infection control nurse and other LVNs, failed to ensure the continuation of the medication, leading to incomplete treatment. Interviews with facility staff and the Infectious Disease doctor's nurse revealed a lack of oversight and documentation, contributing to the resident not completing the prescribed course of Mavyret. The resident's viral load was initially undetectable but later increased, indicating the treatment was ineffective due to the incomplete course. This resulted in the need for an additional 12-week course of treatment for the resident's Hepatitis C.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Paris
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brentwood Terrace Healthcare And Rehabilitation | 0.5 mi | ★★★★★ | 3 | 0 |
| Stillhouse Rehabilitation And Healthcare Center | 0.6 mi | ★★★★★ | 1 | 0 |
| Legend Healthcare And Rehabilitation - Paris | 2.2 mi | ★★★★★ | 14 | 0 |
| Heritage House At Paris Rehab & Nursing | 3.3 mi | ★★★★★ | 13 | 0 |
| Honey Grove Nursing Center | 21.3 mi | ★★★★★ | 10 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.